Cardiac Surgery

Question 1

Where do Atherosclerotic lesions most commonly occur?

Answer 1

Bifurcations of arterial branches

Question 2

In TIA pts, where do most emboli come from?

Answer 2

Internal carotid artery

Question 3

Discuss Amaurosis Fugax

Answer 3

1. Visual disturbance in ipsilateral eye

“2. SHADE OVER EYES”

Question 4

What is the first branch of the internal carotid artery?

Answer 4

Ophthalmic artery

Question 5

What is the most common etiology of aneurysms?

Answer 5

Atherosclerosis; 90% of abdominal aneurysms are infrarenal

Question 6

What is a true aneurysm?

Answer 6

Involves all layers of the vessel; Fusiform and Saccular

Question 7

What is not damaged in a false aneurysm?

Answer 7

Adventitia

Question 8

Discuss Sinus of Valsalva Aneurysm

Answer 8

1. Rupture of RV or RA

2. Often found incidentally at heart catheter or CT

Question 9

Discuss Ascending Thoracic aneurysms

Answer 9

1. Fusiform

2. Hoarseness of voice

Question 10

How do you treat an Ascending Thoracic aneurysm?

Answer 10

1. Beta blocker, Nitroprusside and Surgery

Question 11

How do you treat an abdominal aneurysm?

Answer 11

Surgery if its 5 or 6 cm